nclex 성�� 총정리 요약본

Ⅰ. Integumentary Problems
- epidermis 표피
- dermis 진피: 모낭, 피지샘, 혈관, 신경
- hypodermis: fat, subcutaneous, 피하지방

▶ Candida albicans
- Sx
· skin: red & irritated appearance (itche & sting)
· mucous membranes of mouth: red & whitish patch
(*cheese like white)
- intervention: Antifungal med (~nazole/conazole) (*3-7d 먹거나 발라줌)

▶ Herpes Zoster (Shingles) ★★★★★ 대상포진
*피부질환 빈출 순서: burn→ skin cancer→ herpes zoster
- history of chicken pox is caused by reactivation of the varicella-zoster virus
- shingle can occur during any immunocompromised state
- occur in segmental distribution on the skin area along the infected nerve (*unilaterally clustered skin vesicle)
(*수두: 가려움 먼저/ 대상포진: 통증 먼저 (대상포진성 신경통) → 통증간호 우선)
- diagnosis: visual examination, Tzanck smear, viral culture
- Postherpetic neuralgia(severe pain) can remain after lesion reslove (*대상포진성 신경통)
- contagious→ who never had chicken pox and have not been vaccinated against dz